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Cause of chest pain with normal ECG and ECHO reports - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   hi
Doctor :   How can i he lp yOu
User :   i have chest pain
User :   i did ECG
Doctor :   opk..
User :   and 2 D ECHO test
User :   and both reports are normal
Doctor :   ok..
User :   can you tell me the problem?
Doctor :   Where wxactly is the pain and how long have you been having it.\
User :   some time its left side
User :   some times it is in centre
User :   having since 3 days
Doctor :   Is it related to diet and activity
User :   dont know
User :   i want to know my both report are normal
User :   does it mean i dont have any heart disease?
Doctor :   No there are no visible changes in your heart
User :   yes
User :   it means i am all right?
Doctor :   I would not comment on that since these investigations are less
User :   ok
Doctor :   some times miss out minimal changes and hence its ery tough to comment
User :   but whats the chance of heart attack?
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No
User :   i am 27 year old male from india
User :   i am singale
Doctor :   Ok..
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often?
User :   yah i do smoke
User :   15 in a day
Doctor :   How are yoyur dietary habits..
User :   not good
User :   i didnt take too much food
Doctor :   Ok.. can you elaborate on the nce that you take,
User :   normale chapati and vegitable
User :   sometimes rice
Doctor :   ok.. Any acidity that you ave. benenhaving
User :   whats the symtoms of acidity?
User :   i think i have acidity
Doctor :   Ok..
Doctor :   Do you regurgitate or burp alot..
User :   means?
Doctor :   Belching or Passing excess gass..
User :   no
Doctor :   Ok..
User :   can i ask one question?
Doctor :   Do you have meal regularly in time or not so..
Doctor :   Yes..
User :   not on time
Doctor :   Your question..
User :   just a minut
User :   whats the chance of heart attack
User :   if both reports are normale?
Doctor :   Very high Since you are in the risk zone..
User :   means?
Doctor :   Some time they do not pick them up and will be visible only on the TMT
Doctor :   ECG if not done in the first 6 hours will show normal heaart rhythm since the minimal heart attack will be
User :   ok
User :   if tmt is normal then?
Doctor :   very much resolved and then 2D ECHO just an evaluation of th same..
Doctor :   Then there are no much chance oft yu havingthe Heart attact it would mostly be due too.
Doctor :   High Acidity..
User :   i did echo
User :   and report is normal
User :   then?
Doctor :   Andthayt can Be treated with the ANTACIDS
User :   what?
Doctor :   TMT will be Inducing the stress and the Changes will be more evident ..
User :   you can not say by see the report of ECHO?
Doctor :   Hyper acidity isthe other cause for similar chest pain and will mimiv heart attack..
Doctor :   So that can be treated with Antacids.
User :   ok
User :   and what about ECHO report?
Doctor :   ECHO if the Functional aspect of the heart as te whole and that will pick up gross abnormalities
User :   ok
User :   it its report is normal
Doctor :   If the Has been An attack in minimal area it will be less useful..
User :   then whats the chance of heart attack?
Doctor :   like to have Hyperacidity..
User :   it means i dont have any big problem
Doctor :   You can have a Total body check up to know the various parameters and then cometo any conclusion..
Doctor :   Certainly..
User :   this pain is due to acidity
Doctor :   Total body check up was for the reassone that u arein the
Doctor :   Risk factor zone..
Doctor :   Could be due to it..
User :   how long it happens?
User :   chest pain due to acidity?
Doctor :   As long as the Acid irritates your mucosa in the inside of the esophagus..
User :   whats the cost of TMT?
Doctor :   Take some food and Syrup Sucralfate.
User :   ok
Doctor :   it will reduce the discomfort if its due to acidity..
User :   ok
Doctor :   Please fill this form I send, While I type the necessary information, and do Inform me when done.
User :   i should not take tension?
Doctor :   certainly not since that will make matters worse..
User :   and chance of heart attack? after these two reports are normal?
Doctor :   Very minimal IF tmt does not pick it up.
User :   whats the cost of tmt test?
Doctor :   We can get back to you with that deetail if you require so..
Doctor :   Please confirm these.. YYYY@YYYY Mobile : 0000
User :   yes
Doctor :   One of our doctors will get back to you soon with all the relevant details and you can take the healthiest decision
User :   ok
Doctor :   Will that be it..
User :   againe i want to ask one question
User :   ?
Doctor :   Tell Me.
User :   after see the ECHO test can you say chance of heart attack?
User :   my echo test is normal
Doctor :   It can be more clear in the ECG than in the ECHO if you can SCan and send the
Doctor :   Report to YYYY@YYYY we can dvise you further..
Doctor :   Advice..
User :   means ECG is good then ECHO?
Doctor :   Did not get that,,
User :   which test is good?
User :   after see which test you can say by ECHO or ECG?
Doctor :   It depends on what the doctor is suspecting in yu since the both tehtests hacve individual significance..
Doctor :   And are done for specific reasons..
User :   my both reports are normal
User :   then no chance of heart attack?
Doctor :   As i told you earlier it cuuld be just hyper acidity..
Doctor :   Not heart attack..
User :   ok thanks
Doctor :   Have you filled the form .
User :   it means i should not take any tension
User :   yes
Doctor :   op..
Doctor :   ok..
Doctor :   Bye fornow .
User :   bye

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